Spotlight AnalyticsHBI Solutions
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About
GenHealth.ai is a healthcare-focused generative AI platform built on a proprietary Large Medical Model (LMM) trained using data from over 100 million patient histories rather than natural language. The LMM processes medical codes and events to predict future patient trajectories, forecast costs, and simulate clinical pathways with higher accuracy and fewer hallucinations than traditional large language models. It supports a suite of purpose-built applications, including Intake Automation (PDF routing, data extraction, medical necessity), Prior Authorization Agent for automated adjudication, and G‑Mode analytics, which enables users to “chat” with historical and projected population‐health data via natural language, all without coding. This AI‑powered co‑pilot has shown 94 % accuracy in prior‑auth cases, a 120× improvement in medical loss ratio forecasting, and 110 % better cost prediction versus standard HCC scoring.
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About
Taking any and all data, Spotlight uses proven machine learning to optimize risk insights and infuse them into any clinical workflow and any technology platform. While many of our competitors rely only on medical claims data that’s often 30 to 90 days old, we start with a comprehensive, up-to-date data set. We use real-time clinical, billing and claims data, as well as proteomic and metobolomic data to derive insights from cellular processes and metabolic pathways. Unlike other vendors that provide a single model tested on a specific data set, HBI takes the data you have—any and all data—to calibrate and optimize our proven models to the data you make available. Then we recalibrate each year or whenever your data set changes to assure you’ve always got the best results for your populations.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Health providers needing a solution to streamline intake, prior authorization, population‑health management, and revenue cycle operations
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Audience
Healthcare providers
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationGenHealth.ai
United States
genhealth.ai/
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Company InformationHBI Solutions
Founded: 2011
United States
hbisolutions.com
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Categories |
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Integrations
No info available.
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Integrations
No info available.
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